Provider Demographics
NPI:1710097399
Name:LYNN, WILLIAM SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:SCOTT
Last Name:LYNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2006 FRANKLIN ST SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4537
Mailing Address - Country:US
Mailing Address - Phone:256-539-0457
Mailing Address - Fax:256-539-5827
Practice Address - Street 1:2006 FRANKLIN ST SE
Practice Address - Street 2:SUITE 200
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4551
Practice Address - Country:US
Practice Address - Phone:256-539-0457
Practice Address - Fax:256-539-5827
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL279082085N0700X, 2085R0202X
TN551212085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL128408Medicaid
AL146139Medicaid
AL230382Medicaid
AL239095Medicaid
TN4159247OtherBCBS
AL511-15263OtherBCBS
AL511-23901Medicaid
AL512-36670OtherBCBS
AL515-95675OtherBCBS
AL515-95679OtherBCBS
AL247781Medicaid
AL510-67342OtherBCBS
AL511-95677OtherBCBS
AL515-95678OtherBCBS
AL109899Medicaid
AL117304Medicaid
11780221OtherCAQH
AL247755Medicaid
AL515-95077OtherBCBS
AL515-95676OtherBCBS
AL009910522Medicaid
AL051558876Medicaid
AL149975Medicaid
AL247780Medicaid
AL512-37130OtherBCBS
AL135422Medicaid
AL159863Medicaid
TN4047641Medicaid
AL512-37131OtherBCBS
AL009910348Medicaid
AL009911526Medicaid
AL126705Medicaid
AL226538Medicaid
AL248077Medicaid
AL511-23901OtherBCBS
AL009910770Medicaid
AL114186Medicaid
AL234603Medicaid
AL511-15263Medicaid
AL512-05161OtherBCBS
AL512-36671OtherBCBS
AL009910446Medicaid
AL009911017Medicaid
AL227454Medicaid
AL227560Medicaid
AL248367Medicaid
AL512-95678OtherBCBS